Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,348.96	Facility		$1,258.93	$1,258.93	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $1,258.93	Professional		$1,174.90	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,659.59	Professional		$1,258.93	$1,348.96	$1,659.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,513.56	Facility		$1,258.93	$1,258.93	$1,513.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $1,778.28	Professional		$1,230.27	$1,258.93	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $512.86 / $1,288.25	Facility		$1.26	$512.86	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $1,698.24	Professional		$1,258.93	$1,288.25	$1,698.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93